Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Crestpark Helena, Llc during CMS and state inspections, most recent first.
Failure to perform hand hygiene during meal service. CNAs were observed handling meal trays, assisting residents with meals, and opening tray items without sanitizing their hands before or after contact with residents, trays, or bedside tables. One CNA was also observed handling a baked potato with a bare hand while preparing it for a resident. Staff interviews confirmed hand hygiene was expected before tray handling and resident meal assistance.
Failure to monitor a PRN psychotropic medication order past the 14-day limit. A resident with severe cognitive impairment, major depressive disorder, and behaviors had a PRN psychotropic ordered for agitation after an episode of cursing at staff. The med record showed the order continued for weeks, while the MRR did not address the PRN psychotropic or document a rationale for extending it. The DON, pharmacy consultant, and MD each described gaps in awareness and review of the order.
Hot water at a bathroom sink shared by multiple rooms measured above the facility’s stated maximum of 110 degrees Fahrenheit, including readings of 120.9 and 122.9 degrees. A resident said the water was very hot, and the AD verified the temperature. Staff and the plumber stated that water that is too hot can burn a resident’s skin, and the AD said hot water temperatures were checked weekly and logged.
Daily staffing information was not posted in a prominent, readily accessible location for residents, staff, and visitors. The Daily Staffing Log was found in a copier room that visitors were not allowed to enter, and multiple staff members, including the DON, ADON, and Administrator, stated visitors would need to ask staff or go to the front office to find out who was working. Additional staffing logs were later seen at nurse's stations, but no nurse schedule was visible.
The facility failed to transmit MDS assessments within the required timeframe for two residents. One DRNA MDS and one quarterly MDS were completed and signed, but the transmissions were submitted after the 14-day deadline. Interviews with the ADON and MDS Coordinator confirmed the facility’s process for signing and transmitting MDSs, and the facility policy required transmission within 14 calendar days of completion.
The facility failed to ensure proper hand hygiene and food storage practices in the kitchen. The Cook and Dietary Helper were observed handling food without washing their hands or changing gloves appropriately. Additionally, opened food items were not properly wrapped, labeled, or dated, potentially affecting 33 residents.
The facility failed to empty a resident's bedside commode in a timely manner, compromising the resident's dignity and hygiene. Additionally, the facility did not follow care plan interventions for another resident by failing to install padded bedrails for seizure precautions, putting the resident at risk of injury.
The facility failed to maintain a medication error rate below 5%. A resident did not receive their prescribed doses of Lasix and Omeprazole, another received medications without food, and a third had their Eliquis held beyond the prescribed period without a new order.
A resident missed eight doses of Eliquis due to the facility's failure to clarify and resume the medication order after the initial hold period expired. The DON and an LPN confirmed the oversight, and the MAR reflected the missed doses. The facility lacked a policy on significant medication errors.
The facility failed to ensure the ceiling in a resident's room was in good repair, with the ceiling hanging down and split areas of ceiling tile. Additionally, the facility did not maintain the furniture in the dayroom and patio area, with multiple tears and cracks in the coverings of sofas, chairs, and benches, posing a risk of skin tears to residents.
A facility failed to provide a resident with severe hand contractures and non-verbal status an appropriate call light, leaving them unable to alert staff. Despite staff acknowledging the resident's limitations, no alternative call light was provided, and the facility lacked a specific policy for such assessments.
The facility failed to ensure that the container used to store controlled substances was permanently affixed in the medication room. An LPN confirmed that the box containing 2 vials of Ativan was not attached to anything. The DON and the Administrator were unaware of the requirement, and the facility's policy did not contain relevant information.
Failure to Perform Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to provide and maintain a safe and sanitary environment to help prevent the development and transmission of communicable disease and infections during three observed meal services. A facility policy titled Handwashing/Hand Hygiene stated that hand hygiene is the primary means to prevent the spread of infections and required staff to wash hands before and after eating or handling food and before and after assisting a resident with meals. During lunch observations in the dining room, CNAs did not sanitize their hands before getting meal trays from the kitchen serving window and handing trays to residents, and one CNA did not sanitize hands after sitting down to assist a resident with a meal. During lunch observations on the halls, a CNA did not sanitize hands before handing trays to residents in rooms or after coming out of rooms, and no hand sanitizer dispenser was observed in the rooms or hallway. On another hall, a CNA did not sanitize hands before handing out trays in rooms and touched a bedside table to move it closer to a resident before opening tray items without sanitizing hands; no hand sanitizer dispenser was observed in the room or hallway. During dinner observations, CNAs did not sanitize hands before getting trays from the kitchen serving window or before opening items on dinner trays, and one CNA was observed holding a baked potato with a bare hand while cutting it open to add butter. Interviews with CNA #5, RN #6, the DON, the Administrator, and the ADON confirmed that staff were expected to sanitize hands before tray handling and resident meal assistance, and that handwashing training and checks were performed.
Failure to Monitor PRN Psychotropic Medication Order
Penalty
Summary
The facility failed to monitor the continued need for a PRN psychotropic medication order after 14 days for one resident reviewed for unnecessary drug administration. Resident #9 had severe cognitive impairment on the annual MDS, with diagnoses including major depressive disorder and loss of memory, language, and reasoning with agitation and behaviors. The care plan identified the resident as at risk for wandering and as exhibiting aggression with staff at times, with interventions that included administering medications as prescribed and assessing effectiveness and side effects. Physician orders showed the resident had a psychotropic medication ordered PRN for agitation, and a nurse note documented an episode in which the resident cursed at the nurse and the PRN psychotropic medication was started every eight hours as needed for agitation. The medication record showed the PRN psychotropic medication remained ordered from 07/09/2025 to 09/02/2025. The MRR completed on 08/11/2025 did not address PRN psychotropic drugs and did not include a rationale for extending the order past 14 days. During interviews, the DON stated PRN behavior medications were given as prescribed, the pharmacy consultant stated the prior GDR did not address the psychotropic drug because the resident was not known to be on it, and the MD stated the order did not include an end date and that he was unaware of the 14-day regulation for PRN psychotropic medications.
Hot Water Temperature Exceeded Facility Limit
Penalty
Summary
The facility failed to ensure maintenance services were provided for a safe, clean, comfortable, and homelike environment by not maintaining the hot water temperature at one of three bathroom sinks within the stated limit of no more than 110 degrees Fahrenheit. During an observation and concurrent interview, the hot water in the bathroom sink shared by multiple rooms measured 120.9 degrees Fahrenheit by infrared thermometer, and a resident in one of the rooms stated that the water available in the sink was very hot. During a later observation with the Administrator, the same sink measured 122.9 degrees Fahrenheit, and the Administrator verified the temperature using the facility’s thermometer. The Administrator stated that the maximum hot water temperature should be no more than 110 degrees Fahrenheit and that water temperatures were checked weekly and logged. A plumber stated it was unknown why the hot water in some rooms was hotter than in others and that the temperature from the tank should be the same throughout the building. Staff interviews confirmed that water that was too hot could burn a resident’s skin, and the DON stated CNAs were advised to notify Administration if they felt hot water was too hot for a resident.
Daily staffing log not readily accessible to visitors
Penalty
Summary
The facility failed to ensure that daily staffing information was posted in a prominent place readily accessible to residents, staff, and visitors. On 09/03/25 at 2:20 PM, the Daily Staffing Log was observed in a copier room off the main dining area, and no signage was present directing visitors to that location. Multiple staff members, including three CNAs, an LPN, the DON, the ADON, and the Administrator, stated that visitors were not allowed to enter the copier room where the log was posted. Staff also stated that visitors would need to ask staff members or go to the front office to find out who was working. The ADON stated she was responsible for posting the Daily Staffing Log and that she also posted the CNA schedule at each nurse's station, though she was not sure whether visitors knew it was there. The DON stated the facility did not give out information to visitors about which staff members were working or what area they were assigned to, and said visitors should not be allowed to look at the Daily Staffing Logs. Later observations showed a Daily Staffing log posted at the nurse's station at the end of 100 Hall with dates from 08/11/25 through 08/17/25 and no nurse's schedule visible, and another log posted behind the nurse's station at the end of 200 Hall with dates from 08/18/25 through 08/25/25 and no nurse's schedule visible.
Late MDS Transmission for Two Residents
Penalty
Summary
The facility failed to ensure MDS information was transmitted electronically within 14 days after completion of assessment for two residents whose records were reviewed. For Resident #16, the record showed a discharge, return not anticipated (DRNA) MDS with an ARD of 06/13/2025 and a handwritten completion date of 06/13/2025, but the MDS Transmission Form indicated it was transmitted on 07/03/2025, which was six days past the required submission date of 06/27/2025. During interview, the ADON reviewed the DRNA MDS and stated the MDS Coordinator entered the information into the computer system, including the completion date, and denied entering MDS data herself. For Resident #30, the MDS Transmission Form showed a quarterly MDS with an ARD of 06/10/2025 was transmitted on 07/03/2025, while the MDS itself showed a completion date of 06/11/2025. This assessment should have been transmitted by 06/25/2025 and was sent 8 days late. The MDS Coordinator stated the ADON signs the MDS for completion and she transmits them, and she acknowledged that MDS information was supposed to be transmitted within two weeks of completion. Facility policy stated DRNA and quarterly MDS assessments were to be transmitted 14 calendar days after the MDS completion date.
Failure to Ensure Proper Hand Hygiene and Food Storage Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and food storage practices in the kitchen, as observed by surveyors. The Cook was seen handling food items such as frozen dinner rolls, turkey meat, and dough sheets without washing his hands between tasks or after touching non-food items. He frequently changed gloves without sanitizing his hands, and on several occasions, used his bare hands to handle food and food preparation items. Additionally, the Cook admitted to not following the handwashing policy correctly and acknowledged that opened food items should be properly wrapped, labeled, and dated, which was not done in this case. The Dietary Helper also failed to follow proper hand hygiene protocols. She was observed handling utensils, condiments, and bread with her bare hands and then putting on gloves without washing her hands. She admitted that she should have washed her hands after touching non-food items and before putting on gloves. Both the Cook and the Dietary Helper confirmed their understanding of the handwashing policy but did not adhere to it during the observed meal preparation and service. Furthermore, the facility's storage practices were found to be inadequate. A plastic bag containing dinner rolls in the reach-in freezer was not properly sealed, labeled, or dated. The facility's handwashing procedure policy did not specify when or how often hands should be washed in the kitchen, and the storage policy emphasized the need for proper wrapping, labeling, and dating of frozen foods, which was not followed. These deficiencies had the potential to affect 33 residents who received meals from the kitchen.
Failure to Maintain Hygiene and Implement Seizure Precautions
Penalty
Summary
The facility failed to ensure the bedside commode in a resident's room was emptied in a timely manner for Resident #187. Over several days, the surveyor observed the commode containing used gloves and solid/liquid waste, which was not emptied despite multiple opportunities. The resident confirmed the commode had not been emptied and expressed discomfort and embarrassment over the situation. The facility's policy on personal care for bedside commodes was not followed, as it required the commode to be cleaned and emptied after each use. Resident #187's care plan identified the need to maintain the resident's dignity, which was compromised by the failure to empty the commode promptly. Additionally, the facility failed to follow care plan interventions regarding seizure precautions for Resident #1. The resident's care plan indicated the need for padded bedrails to reduce the risk of injury due to seizure activity. However, observations over several days revealed that the resident's bedrails were not padded, and no padding was present in the room. Interviews with the LPN and MDS Coordinator confirmed that padded bedrails were required but not in place. This failure to implement the care plan interventions put the resident at risk of injury.
Medication Administration Errors
Penalty
Summary
The facility failed to ensure the medication error rate was less than 5% during the medication administration observation of three residents. Resident #32 did not receive their prescribed doses of Lasix 20 mg and Omeprazole 40 mg during the 8:00 AM medication pass. The LPN administering the medication incorrectly held the Lasix without a physician's order and failed to administer the Omeprazole, which was later found in a packet in the medication cart. Additionally, Resident #27 received their medications without food, despite physician's orders specifying that Potassium Chloride and Meloxicam should be given with food. The LPN confirmed that no food was provided during the medication pass. Resident #10 had a physician's order to hold Eliquis 5 mg for three days, which had expired. However, the medication was not resumed as there was no further order to continue holding it. The LPN did not administer the Eliquis during the 4:00 PM medication pass, and the Director of Nursing confirmed that there was no order to continue holding the medication. These actions and inactions led to a medication error rate exceeding the acceptable threshold of 5%.
Failure to Administer Anticoagulant Medication
Penalty
Summary
The facility failed to ensure that Resident #10 was free from significant medication errors. Resident #10 had a physician's order to hold Eliquis, an anticoagulant medication, for three days starting at 2:00 PM on a specified date. However, there were no further orders to continue holding the medication past this date, nor was the order clarified with the provider to resume the medication. Despite the order expiring, the medication was not administered, resulting in Resident #10 missing eight doses of Eliquis. This was confirmed by LPN #6 and the Director of Nursing (DON), who acknowledged the lack of an order to continue holding the medication. The Medication Administration Record (MAR) also reflected the missed doses, and the facility did not have a policy covering significant medication errors.
Facility Fails to Maintain Safe and Comfortable Environment
Penalty
Summary
The facility failed to ensure the ceiling in one resident's room was in good repair, as observed by the surveyor on multiple occasions. The ceiling over the resident's dresser was falling and hanging down, with several split areas of ceiling tile and nine nails/screws attempting to hold it in place. The resident reported that the ceiling had been in this condition for about a month and a half. Despite the administrator stating that a contractor had been contacted two weeks prior and again the day before the surveyor's visit, there was no proof of contact or any work order for the repair, and the facility lacked a Repair or Replacement policy. Additionally, the facility failed to maintain the furniture in the dayroom and the patio area in good repair. The surveyor observed multiple tears and cracks in the coverings of a long sofa, a loveseat, and a chair in the dayroom, which the administrator acknowledged could cause skin tears. In the resident smoking area, several chairs and a wooden bench were found to be damaged, with tears, cracks, and exposed foam cushions, posing a risk of skin tears to residents. The administrator admitted to not having seen the damage in the patio area before the surveyor's visit and acknowledged the potential harm to residents.
Failure to Provide Appropriate Call Light for Resident with Severe Contractures
Penalty
Summary
The facility failed to ensure a comprehensive assessment was completed to provide a resident with the proper type of call light to accommodate their physical limitations. The resident had severe contractures in both hands and was non-verbal, making it impossible for them to use a standard call light. Despite this, the resident was observed with a standard call light draped across their chest, which they could not grip or press to alert staff of their needs. Interviews with staff, including an LPN and the MDS Coordinator, confirmed that the resident could not use the standard call light due to their physical limitations. However, no alternative call light was provided to the resident, and the facility lacked a specific policy or procedure for assessing and determining the appropriate equipment for residents based on their needs. The deficiency was further highlighted during interviews with the facility's Administrator, DON, and ADON, who confirmed that the process for assessing and determining necessary equipment was based on nurse assessments. Despite acknowledging the resident's inability to use the standard call light, no action was taken to provide an alternative solution. This failure to provide the appropriate call light had the potential to negatively impact the resident's care and safety, as they were unable to alert staff when needed.
Failure to Affix Controlled Substance Storage Box
Penalty
Summary
The facility failed to ensure that the container used to store controlled substances was permanently affixed in the medication room. During an observation, the surveyor noted that the black box containing 2 vials of Ativan was not attached to anything, although it was locked and stored in a locked refrigerator. An LPN confirmed that the box was not affixed. When questioned, the DON and the Administrator were unaware that the box needed to be permanently affixed. Additionally, the facility's policy on the storage of medications did not contain relevant information regarding the permanent affixing of controlled substance storage containers.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Helena
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tunica County Health & Rehab, Llc | 17.1 mi | ★★★★★ | 7 | 0 |
| Crestpark Marianna, L L C | 18.5 mi | ★★★★★ | 4 | 0 |
| Clarksdale Nursing Center | 24.6 mi | ★★★★★ | 0 | 0 |
| Greenbough Health And Rehabilitation Center | 25.4 mi | ★★★★★ | 11 | 0 |
| Quitman County Health & Rehab Llc | 28.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Crestpark Helena, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.